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PRESTIGE 2
NPI 1174222830
General Practice in Crown Point, IN

Active since March 01, 2023
11360 BROADWAY, CROWN POINT, IN 46307(219) 301-2624 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Prestige 2 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE 2 (NPI 1174222830) is a healthcare organization registered as a general practice in Crown Point, Indiana and active in the NPI registry since March 2023. The organization maintains a secondary practice location in Hammond and lists Jay K Joshi, Owner, as its authorized official.

NPPES Registry Identity

NPI1174222830
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRESTIGE 2
Location Address11360 BROADWAYCrown Point, IN 46307-7197
Mailing AddressPo Box 578220Chicago, IL 60657-7303 · (773) 935-4700
Phone(219) 301-2624
Organization SubpartNo
Authorized OfficialJay K JoshiOwner · (630) 430-8024
Enumeration DateMarch 1, 2023
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1174222830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11360 BROADWAY, Crown Point, IN 46307
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Secondary Practice Location 1

Location 17134 Calumet AveHammond, IN 46324-2406 · Phone (219) 301-2624

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RELIVE PHYSICAL THERAPY INDIANA
Clinic/Center (Physical Therapy)
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (708) 390-3362
JILLIAN KOREN
Physical Therapist
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (219) 600-4656
NORTHWEST INDIANA ORTHOPEDICS LLC
Orthopaedic Surgery
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (219) 756-0600
MK ORTHOPEDICS, LLC
Orthopaedic Surgery
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (630) 330-9596
MRS. SARAH MARIE KONOPASEK PT
Physical Therapist
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (219) 662-8929
KRISTIJAN SRBINOSKI
Physical Therapy Assistant
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (219) 600-4656
DR. JAY KAUSHIK JOSHI M.D., M.B.A.
General Practice
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (219) 301-2624
MUKUND KOMANDURI M.D.
Orthopaedic Surgery
11360 BROADWAY
CROWN POINT, IN 46307
Lake County (219) 600-4656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige 2's NPI number?

The NPI number for Prestige 2 is 1174222830. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Prestige 2 located?

Prestige 2 is located at 11360 Broadway, Crown Point, IN 46307. The listed phone number is (219) 301-2624.

What is Prestige 2's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Prestige 2 was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.